Electrocardiogram (EKG, tracing only)
Facility: Watsonville Community Hospital
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $999
- Cash Discount Price: $854
- vs. Medicare Baseline: 16.58x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $60.27 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1658% of the Medicare baseline (a markup of 1558%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Healthy Families | $7 - $11 | 12% |
| Medi-Cal E.R. | $7 - $11 | 12% |
| Well Path | $7 - $1,428 | 12% |
| Medi-Cal/Eds | $7 - $11 | 12% |
| California Childrens Srvs | $7 - $11 | 12% |
| Ccs/Monterey County | $7 - $11 | 12% |
| Medicaid / KanCare | $7 - $11 | 12% |
| Alliance/Sccho | $11 - $41 | 18% |
| Blue Cross Blue Shield | $37 - $1,272 | 61% |
| Blue Shield HMO | $37 - $286 | 61% |
| Great-West/Phcs | $37 - $999 | 61% |
| UnitedHealthcare | $37 - $857 | 61% |
| Secure Horizons Dign HMO | $37 - $286 | 61% |
| Aetna | $37 - $1,171 | 61% |
| Pacificare HMO | $37 - $857 | 61% |
| Health Net Pmg HMO | $37 - $895 | 61% |
| Cigna | $37 - $999 | 61% |
| Robert Kennedy/Ccn | $103 - $1,272 | 171% |
| Western Growers Trust/Bc | $103 - $1,272 | 171% |
| Sheet Metal Workers | $103 - $1,272 | 171% |
| Delta Health Systems | $103 - $1,272 | 171% |
| Monterey Bay Pub Emp Trst | $103 - $1,272 | 171% |
| Teamsters Benefit Trust | $103 - $1,272 | 171% |
| Carpenters H&W Trust | $103 - $1,272 | 171% |
| Laborers Health & Welfare | $103 - $1,272 | 171% |
| City of Wats/Pinnacle Clm | $103 - $1,272 | 171% |
| Pinnacle Claims Tpa/Bc | $103 - $1,272 | 171% |
| State Compensation Fund | $103 - $1,272 | 171% |
| Calif Ironworkers Field | $103 - $1,272 | 171% |
| Operating Engineers | $103 - $1,272 | 171% |
| Claims Management Wc | $103 - $1,272 | 171% |
| Medicruz | $255 - $257 | 423% |
| Victim Compensation Plan | $255 - $1,428 | 423% |
| Western Health Advantage | $709 - $714 | 1176% |
| Pacificare PPO | $850 - $857 | 1410% |
| Self Pay | $850 - $857 | 1410% |
| Health Net Smartcare Netw | $850 - $857 | 1410% |
| Health Net Canopycare HMO | $889 - $895 | 1475% |
| Health Net of California | $889 - $895 | 1475% |
| Health Net Blue and Gold | $889 - $895 | 1475% |
| Geha (Ccn) | $992 - $1,142 | 1646% |
| Adventist Risk Management | $992 - $1,142 | 1646% |
| Transwestern | $992 - $1,142 | 1646% |
| First Health | $992 - $1,142 | 1646% |
| Private Healthcare System | $1,106 - $1,114 | 1835% |
| Multiplan Inc PPO | $1,106 - $1,114 | 1835% |
| Salinas Valley Mem Hops | $1,205 - $1,214 | 1999% |
| Coastal Healthcare Admin | $1,205 - $1,285 | 1999% |
| Prucare Pmg HMO | $1,418 - $1,428 | 2353% |
| Miscellaneous Insurance | $1,418 - $1,428 | 2353% |
| Bankers Life & Casualty | $1,418 - $1,428 | 2353% |
| United Administrative | $1,418 - $1,428 | 2353% |
| Aarp | $1,418 - $1,428 | 2353% |
| Miscellaneous Auto | $1,418 - $1,428 | 2353% |
| Wholesale Beer Distributo | $1,418 - $1,428 | 2353% |
| Travelers Insurance | $1,418 - $1,428 | 2353% |
| Prucare Pmg POS | $1,418 - $1,428 | 2353% |
| Allstate | $1,418 - $1,428 | 2353% |
| Physicians Mutual | $1,418 - $1,428 | 2353% |
| Apwu Health Plan | $1,418 - $1,428 | 2353% |
| Farmers Insurance | $1,418 - $1,428 | 2353% |
| Humana | $1,418 - $1,428 | 2353% |
| State Farm Ins | $1,418 - $1,428 | 2353% |
| Zenith National Ins | $1,418 - $1,428 | 2353% |
| Aaa | $1,418 - $1,428 | 2353% |
| North Calif Bakery Driver | $1,418 - $1,428 | 2353% |
| Sutter Health Plus | $1,418 - $1,428 | 2353% |